Advanced Search

Home Health & Hospice Week

Industry Note:

DME Item Tops One RAC's Audit Collections List

Published on Tue Jul 12, 2011

A durable medical equipment item is the top issue in Region C under RAC Connolly Inc., so don't be surprised if other home care topics start making it onto RACs' hit lists. CMS lists "DMEPOS provided during an Inpatient stay: (DMEPOS Automated Review)" as the top Region C issue in its newly issued summary report for the RACs' third quarter. "Medicare does not make separate payment for DMEPOS when a beneficiary is in a covered inpatient stay," CMS notes in the report. The other three regions have hospital topics listed as their top issues. RACs collected $233.4 million in overpayments during the quarter and returned $55.9 million in underpayments, CMS says in the report at www.cms.gov/Recovery-Audit-Program/Downloads/FFSUpdate.pdf. Region D RAC HealthData Insights collected more than twice as much as any other RAC at $112.2 million. Meanwhile, if you do end up with an overpayment demand from a RAC, you won't [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Home Health & Hospice Week

View All